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Posterior Reversible Leukoencephalopathy Syndrome Following Acute Carbon Monoxide Poisoning: A Case Report

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¹ÚÀºÁ¤(Park Eun-Jung) - ¾ÆÁÖ´ëÇб³ ÀÇ°ú´ëÇÐ ÀÀ±ÞÀÇÇб³½Ç
¹Î¿µ±â(Min Young-Gi) - ¾ÆÁÖ´ëÇб³ ÀÇ°ú´ëÇÐ ÀÀ±ÞÀÇÇб³½Ç
Á¤À±¼®(Jung Yoon-Seok) - ¾ÆÁÖ´ëÇб³ ÀÇ°ú´ëÇÐ ÀÀ±ÞÀÇÇб³½Ç
À̽½±â(Lee Seul-Ki) - ¹é¼®´ëÇб³ ÀÀ±Þ±¸Á¶Çаú
ÃÖ»óõ(Choi Sang-Cheon) - ¾ÆÁִ뺴¿ø ÀÇ°ú´ëÇÐ ÀÀ±ÞÀÇÇб³½Ç

Abstract

Posterior reversible leukoencephalopathy syndrome (PRES) is characterized by transient headache, altered mental functioning, seizures, and loss of vision associated with findings of predominantly posterior cerebral lesions on imaging studies. Magnetic resonance imaging typically shows bilateral hyperintensity on T2 weighted imaging and fluid attenuated inversion recovery imaging, predominantly in the parieto-occipital region. The common etiologies of PRES include eclampsia, renal impairment, immunosuppressive treatment, cancer chemotherapy, autoimmune diseases, and hypertension. The prognosis is usually benign when adequate treatment is initiated immediately. Otherwise, delay in diagnosis and treatment may lead to permanent neurological sequelae. We report on the case of a 24-year-old man who presented with the characteristics of PRES with acute carbon monoxide poisoning.

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Posterior leukoencephalopathy syndrome, Carbon monoxide, Poisoning
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